ADVANCED DERMATOLOGY ASSOCIATES
NPI 1386078236
Specialist in New York, NY

Active since August 28, 2013
200 CENTRAL PARK S, SUITE 107, NEW YORK, NY 10019(212) 262-2500(212) 765-3210 Get Directions Write a Review

NPPES record last updated: August 28, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Advanced Dermatology Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED DERMATOLOGY ASSOCIATES (NPI 1386078236) is a healthcare organization registered as a specialist in New York, New York and active in the NPI registry since August 2013. The organization lists Lawrence Jaeger, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1386078236
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameADVANCED DERMATOLOGY OF NEW YORK PC
Location Address200 CENTRAL PARK S, SUITE 107New York, NY 10019-1436
Mailing Address200 Central Park S, Suite 107New York, NY 10019-1436 · (212) 262-2500 · Fax (212) 765-3210
Fax(212) 765-3210
Organization SubpartNo
Authorized OfficialLawrence JaegerChief Executive Officer · (212) 262-2500
Enumeration DateAugust 28, 2013
NPI 1386078236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

200 CENTRAL PARK S, New York, NY 10019

Other Names 1

Doing Business AsAdvanced Dermatology Associates

Other Identifiers 2

Medicare PINW37061NY
Medicare PINW337062NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Plastic Surgery
200 CENTRAL PARK S, SUITE # 16A
NEW YORK, NY 10019
Dentist
200 CENTRAL PARK S, SUITE 212
NEW YORK, NY 10019
Dermatology
200 CENTRAL PARK S, STE 107
NEW YORK, NY 10019
Dermatology
200 CENTRAL PARK S, STE 107
NEW YORK, NY 10019
Dentist
200 CENTRAL PARK S, SUITE 102
NEW YORK, NY 10019
Dentist (Periodontics)
200 CENTRAL PARK S, SUITE 209
NEW YORK, NY 10019
Physician Assistant
200 CENTRAL PARK S, SUITE 107
NEW YORK, NY 10019
Dentist
200 CENTRAL PARK S, SUITE 102
NEW YORK, NY 10019

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Dermatology Of New York PC's NPI number?

The NPI number for Advanced Dermatology Of New York PC is 1386078236. It was assigned to this organization in the NPPES registry on August 28, 2013. The provider is doing business as Advanced Dermatology Associates.

Where is Advanced Dermatology Of New York PC located?

Advanced Dermatology Of New York PC is located at 200 Central Park S Suite 107, New York, NY 10019. The listed phone number is (212) 262-2500.

What is Advanced Dermatology Of New York PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Advanced Dermatology Of New York PC was last updated on August 28, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.